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Gender:

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Birth Date:

Death Date:

Place of Birth: ,

Year Medical License Issued:

Medical School:

Medical School Location:

Degree:

Graduation Date:

References: Port: HAM-TMC Library - P-2960 (b&w) 1974

at Texas Research Inst. Of Mental Sciences, Houston, TX

Certified by TX Board?:

Location: Houston

Specialty:

Secondary Specialty:

Notes: